ATI RN
RN ATI Comprehensive Assessment Exam Retake 2023 V2 Questions
Extract:
Question 1 of 5
A nurse is preparing to admit a 6-year-old with varicella to the pediatric unit. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Assign the child to a negative air pressure room. Varicella, commonly known as chickenpox, is highly contagious via airborne droplets. Placing the child in a negative air pressure room helps prevent the spread of the virus to other patients and healthcare workers. This isolation precaution is crucial in controlling the transmission of varicella. Administering aspirin (choice
B) is contraindicated in varicella due to the risk of Reye's syndrome. Using droplet precautions (choice
C) is not appropriate for varicella, as it is transmitted through airborne particles. Assessing for Koplik spots (choice
D) is related to measles, not varicella.
Question 2 of 5
A nurse is assessing a client who received hydromorphone 4 mg IV 15 min ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications?
Correct Answer: C
Rationale: The correct answer is C: Naloxone. Naloxone is a reversal agent for opioid overdose, including hydromorphone. The client's respiratory rate of 10/min is a sign of opioid overdose and respiratory depression, which can be reversed by naloxone. Administering naloxone will help reverse the effects of hydromorphone and improve the client's respiratory function.
Acetylcysteine (choice
A) is used as an antidote for acetaminophen overdose. Protamine (choice
B) is used to reverse the effects of heparin. Flumazenil (choice
D) is a reversal agent for benzodiazepines, not opioids. The other choices are not relevant to the situation described.
Question 3 of 5
A nurse in an emergency department is caring for a 3-year-old child who has suspected epiglottitis. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Prepare to assist with intubation. Epiglottitis is a serious condition that can rapidly progress to airway obstruction. Intubation may be necessary to secure the airway and maintain oxygenation. This intervention takes precedence over other actions such as obtaining a throat culture, suctioning the oropharynx, or preparing a cool mist tent, which are not immediate life-saving measures. Intubation ensures a patent airway and adequate gas exchange, which are essential in managing a child with suspected epiglottitis.
Therefore, preparing to assist with intubation is the priority in this situation to prevent respiratory compromise and potential respiratory arrest.
Question 4 of 5
A nurse is caring for a client who is near the end of life and is on complete bed rest. The client states that he needs to have a bowel movement, and the nurse offers a bed pan. The client states, 'I've always used the bathroom.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Tell me what concerns you have about using a bed pan." This response demonstrates empathy and encourages the client to express their feelings, fostering open communication. By understanding the client's concerns, the nurse can address them effectively, promoting a sense of control and dignity for the client.
Option B is incorrect as it disregards the client's request to not use the bed pan. Option C is incorrect as it assumes the client can be ambulated to the bathroom, which may not be feasible. Option D is incorrect as it is authoritarian and dismisses the client's autonomy. It is essential to prioritize the client's comfort and emotional well-being in end-of-life care.
Question 5 of 5
A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Crackles in lungs. In heart failure, the heart is unable to effectively pump blood, leading to fluid accumulation in the lungs, causing crackles on auscultation due to pulmonary edema. Decreased thirst (
B) is not typical in heart failure as fluid overload often leads to increased thirst. Poor skin turgor (
C) is more indicative of dehydration. Tachycardia (
D) can occur in heart failure, but it is not specific to this condition.